Figure 3.

(a) Preoperative photograph of 4-year-old boy with right eyelid congenital ptosis. (b) Photograph of the same patient 12 months after levator resection with SLSF suspension. Cosmetic outcome was graded as good because asymmetry between both upper eyelids was <2 mm with natural eyelid contour and crease. Note that the left upper eyelid dropped slightly at 12 months. This change in the position of left upper eyelid may be due to the integral role of levator muscle innervation in the definition of Hering's law. (c) Preoperative photograph of 5-year-old girl with left-eyelid congenital ptosis. (d) Photograph of the same patient 15 months after levator resection with SLSF suspension. Cosmetic outcome was graded as excellent because asymmetry between both eyelids was <1mm with natural eyelids contour and crease.